Its much the same in the middle east, you find yourself "specifying" equipment your sponsor or the consultant wishes to buy, different rules do apply though, Ill never forget the place.
Hareesh, re JCIA/JCAHO accreditation, contact moleary@jcrinc.com , youll get a lot of help there, there is a lot of good info re standards too from mpotter@jcrinc.com
